Individual
JENNY MARIE ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MFT
Contact information
Practice address
1501 W WASHINGTON ST STE 104, MT PLEASANT, IA 52641-3002
(319) 385-1919
Mailing address
1501 W WASHINGTON ST STE 104, PO BOX 435, MT PLEASANT, IA 52641-3002
(319) 385-1919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000428
IA
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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